틱(Tic)장애 아동의 인구학적, 임상적 특성과 한약치료 효과
The Effect of Herbal Medicine and Clinical, Demographic Characteristic for Tic Disorder children
2
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Objectives :The goals of the present study are to assess children with tic disorders, their clinical characteristic and to prove the effectiveness of herbal treatments of tic disorders. Methods :The present study was conducted from January 2006 to April 2011, with 200 out-patient children between the age of 6 to 12 diagnosed with tic disorder (after excluding 10 children who could not be clearly diagnosed) at the "H’herbal medicine clinic located in Seoul. Of these 200 children, we have evaluated the epidemiology and clinical manifestation,and analyzed the results of herbal medicine treatments. Results :1. Among the children diagnosed with tic disorder, TTD was most prevalent (43.3%) and males were more likely than females to express tics (5.45:1). Children with TD sought help significantly later (average age of 9.03 years) than the other types. 2. The analysis results of herbal medicine treatments are as follows. Compared to the pre-treatment assessment, children who received herbal medicine treatment for more than three months (n=52) showed a marked decrease in symptoms of motor tics (the number of motor tics, frequency, severity, complexity) and vocal tics (the number of vocal tics, frequency, severity), in the impairment level of combined tics (motor and vocal tics together)and in the overall score. Conclusions :In conclusion, we apprehended demographic and clinical characteristics of tic disorder patients who visited a Korean traditional medicine clinic by analyzing the psychological assessment results. Furthermore, we identified the effectiveness of herb formula in tic disorder.
Abstract
Objectives :The goals of the present study are to assess children with tic disorders, their clinical characteristic and to prove the effectiveness of herbal treatments of tic disorders. Methods :The present study was conducted from January 2006 to April 2011, with 200 out-patient children between the age of 6 to 12 diagnosed with tic disorder (after excluding 10 children who could not be clearly diagnosed) at the "H’herbal medicine clinic located in Seoul. Of these 200 children, we have evaluated the epidemiology and clinical manifestation,and analyzed the results of herbal medicine treatments. Results :1. Among the children diagnosed with tic disorder, TTD was most prevalent (43.3%) and males were more likely than females to express tics (5.45:1). Children with TD sought help significantly later (average age of 9.03 years) than the other types. 2. The analysis results of herbal medicine treatments are as follows. Compared to the pre-treatment assessment, children who received herbal medicine treatment for more than three months (n=52) showed a marked decrease in symptoms of motor tics (the number of motor tics, frequency, severity, complexity) and vocal tics (the number of vocal tics, frequency, severity), in the impairment level of combined tics (motor and vocal tics together)and in the overall score. Conclusions :In conclusion, we apprehended demographic and clinical characteristics of tic disorder patients who visited a Korean traditional medicine clinic by analyzing the psychological assessment results. Furthermore, we identified the effectiveness of herb formula in tic disorder.
참고문헌 (22)
- Michael B, "The Testbook Compilation Committee of Neuropsychiatry of oriental medical schools in nation. Revised edition" (2010), jipmoon-Dang
- Min SG, "The Newest Psychiatry. The 5th Edition" (2006), Iljogak
- 위영만, "틱(Tic) 장애의 한의변증유형 설문지에 대한 신뢰도 및 요인분석 연구", 동의신경정신과학회지, 23(1), pp.59~82 (2012), 대한한방신경정신과학회[DOI]
- Lee SH, "A Case of Tic Disorder", J Korean Oriental Pediatrics, 15(2), pp.115~116 (2001)
- 송현지, "놀이치료를 병행한 틱장애 환아 치험 1례", 대한한방소아과학회지, 20(2), pp.115~128 (2006), 대한한방소아과학회
- Jung HC, "A clinical report of a patient with Tourett's disorder", J.of Oriental Neuropsychiatry, 14(2), pp.213~218 (2003)
- 천영호, "한의원에 내원한 틱장애 환자 292례 증례분석", 동의신경정신과학회지, 20(1), pp.119~146 (2009), 대한한방신경정신과학회
- 이영나, "틱 장애 아동의 가정 환경 및 어머니 양육 관련 변인에 관한 연구", 한국놀이치료학회지, 8(1), pp.37~48 (2005), 한국놀이치료학회
- Kim JS, "A Comparison of the Characteristics of Childern with Tourette and Chronic Tic Disorder According to Their Birth Orders", Journal of child & Adolescent Psychiatry, 4(1), pp.124~132 (1993)
- Kim JS, "Comorbid Psychopathology and Parental Behaviors in Tic Disorder Children", Journal of child & Adolescent Psychiatry, 5(1), pp.150~161 (1994)
- Shin JH, "Followf-up Study of the Tic Disorders", Journal of child & Adolescent Psychiatry, 7, pp.68~76 (1996)
- Leckman JF, "The Yale Global Tic Severity Scale: initial testing of a clinician-rated scale of tic severity", Am Acad Child Psychiatry, 28, pp.566~573 (1989)
- Chung SJ, "Development of the Korean Form of Yale Global Tic Severity Scale : A Validity and Reliability Study", Journal of the Korean Neuropsychiatric Association, 37, pp.942~951 (1988)
- Elkind, D, "The hurried child Management" (1981), Agency & Music Publishing
- Michael B, "DSM-Ⅳ-TRTM Mental Disorders-Diagnosis, Etiology & Treatment", pp.212~213 (2004), John Wiley & Sons
- Kim YR, "The Prevalence, Psychopathology, Temperament in Korean Population of school children and Adolescent with Tic disorders. A thesis submitted in partial fulfillment of the requirements for the degree of master of philosophy in medicine", pp.2009
- Jung SJ, "Clinical Features of Three-Diagnosed Groups of Tic Disorders and Factors Related with Illness Severity", Journal of child & Adolescent Psychiatry, 12(1), pp.115~124 (2001)
- Hong KY, "A Clinical Study of Tic Disorder in Korea", Korean Journal of Pediatrics, 24(3), pp.198~208 (1981)
- Cohen DJ, "Tourettes' syndrome and Tic disorder" (1988), John Wiley & Sons
- Shin SW, "Clinical Chracteristics of Chronic Motor Tic Disorders Tourette's Disorder", Journal of child & Adolescent Psychiatry, 12(1), pp.103~114 (2001)
- Baek JH, "Clinical Study of Tic disoder", Journal of Redcross hospital, 24(2), pp.213~218 (1997)
- Min SK, "A Clinical Study on Tourette's Disoder", Journal of child & Adolescent Psychiatry, 8(1), pp.92~100 (1997)